LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-01005-R01-
SB.docx
1 of 3
General Assembly Substitute Bill No. 1005
January Session, 2021
AN ACT CONCERNING RE QUIRED HEALTH INSURA NCE
COVERAGE FOR NEWBORN CHILDREN.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 38a-490 of the general statutes is repealed and the 1
following is substituted in lieu thereof (Effective January 1, 2022): 2
(a) Each individual health insurance policy delivered, issued for 3
delivery, renewed, amended or continued in this state providing 4
coverage of the type specified in subdivisions (1), (2), (4), (6), (10), (11) 5
and (12) of section 38a-469 for a family member of the insured or 6
subscriber shall, as to such family member's coverage, also provide that 7
the health insurance benefits applicable for children shall be payable 8
with respect to a newly born child of the insured or subscriber from the 9
moment of birth. 10
(b) Coverage for such newly born child shall consist of coverage for 11
injury and sickness including necessary care and treatment of medically 12
diagnosed congenital defects and birth abnormalities within the limits 13
of the policy. 14
(c) If payment of a specific premium or subscription fee is required to 15
provide coverage for a child, the policy or contract may require that 16
notification of birth of such newly born child and payment of the 17 Substitute Bill No. 1005
LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-01005-
R01-SB.docx }
2 of 3
required premium or fees shall be furnished to the insurer, hospital 18
service corporation, medical service corporation or health care center 19
not later than [sixty-one] one hundred twenty-one days after the date of 20
birth or the date of discharge from the hospital, whichever is later, in 21
order to continue coverage beyond such [sixty-one-day] period, 22
provided failure to furnish such notice or pay such premium or fees 23
shall not prejudice any claim originating within such [sixty-one-day] 24
period. 25
Sec. 2. Section 38a-516 of the general statutes is repealed and the 26
following is substituted in lieu thereof (Effective January 1, 2022): 27
(a) Each group health insurance policy delivered, issued for delivery, 28
renewed, amended or continued in this state providing coverage of the 29
type specified in subdivisions (1), (2), (4), (6), (11) and (12) of section 38a-30
469 for a family member of the insured or subscriber shall, as to such 31
family member's coverage, also provide that the health insurance 32
benefits applicable for children shall be payable with respect to a newly 33
born child of the insured or subscriber from the moment of birth. 34
(b) Coverage for such newly born child shall consist of coverage for 35
injury and sickness including necessary care and treatment of medically 36
diagnosed congenital defects and birth abnormalities within the limits 37
of the policy. 38
(c) If payment of a specific premium fee is required to provide 39
coverage for a child, the policy may require that notification of birth of 40
such newly born child and payment of the required premium or fees 41
shall be furnished to the insurer, hospital service corporation, medical 42
service corporation or health care center not later than [sixty-one] one 43
hundred twenty-one days after the date of birth or the date of discharge 44
from the hospital, whichever is later, in order to continue coverage 45
beyond such [sixty-one-day] period, provided failure to furnish such 46
notice or pay such premium shall not prejudice any claim originating 47
within such [sixty-one-day] period. 48 Substitute Bill No. 1005
LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-01005-
R01-SB.docx }
3 of 3
This act shall take effect as follows and shall amend the following
sections:
Section 1 January 1, 2022 38a-490
Sec. 2 January 1, 2022 38a-516
INS Joint Favorable Subst.